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Phase 3 Completed N=185 Treatment

Safety and Tolerability of Conversion From Oral, Injectable, or Infusion Disease Modifying Therapies to Dose-titrated Oral Siponimod (Mayzent) in Advancing RMS Patients

Multiple Sclerosis · Advancing Multiple Sclerosis
Source: ClinicalTrials.gov NCT03623243 ↗
Enrolled (actual)
185
Serious AEs
4.9%
Results posted
Jul 2023
Primary outcomePrimary: Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE) Related to Study Drug During the Treatment Period — 59 Participants
◆ Published Evidence
Emerging
1citation · ~1 / year
Safety and tolerability of conversion to siponimod from other disease-modifying therapies in patients with advancing forms of relapsing MS: Results from the EXCHANGE study.
Multiple sclerosis (Houndmills, Basingstoke, England) · 2025 · Open access · Likely link

Summary

To assess safety and tolerability of patients converting from approved Relapsing Multiple Sclerosis (RMS) Disease Modifying Therapies (DMTs) to siponimod.

Linked Publications

  • Safety and tolerability of conversion to siponimod from other disease-modifying therapies in patients with advancing forms of relapsing MS: Results from the EXCHANGE study.
    Multiple sclerosis (Houndmills, Basingstoke, England) · 2025 · 1 citation · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE) Related to Study Drug During the Treatment Period
59 —
SECONDARY
Number of Participants With at Least One Adverse Event (AE)
138 —
SECONDARY
Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM-9)
13.5; 15.6; 15.3 —
SECONDARY
Change in Heart Rate From Baseline to 6 Hours After First Treatment
2.47 —
SECONDARY
Number of Participants With at Least One Hospitalization During the Treatment
9 —
SECONDARY
Patient Retention Reported as Number of Participants Who Completed the Study
146 —

Eligibility Criteria

Key Inclusion Criteria

  • Signed informed consent.
  • Male or female aged 18 to 65 years (inclusive).
  • Patients with advancing RMS as defined by the principal investigator.
  • Prior history of relapsing MS (RMS), with or without progressive features, according to the 2010 Revised McDonald or Lublin criteria (Lublin et al, 2013).
  • EDSS score of >/= 2.0 to 6.5 (inclusive).
  • Having been continuously treated with RMS Disease Modifying Therapies.

Key Exclusion criteria

  • Pregnant or nursing (lactating) women.
  • Patients with any medically unstable condition as determined by the investigator.
  • Certain cardiac risk factors defined in the protocol
  • History of hypersensitivity to the study drug or to drugs of similar chemical classes.

Other protocol-defined inclusion/exclusion criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03623243) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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